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BLD2022-1198_Application_9.9.2022_10.33.11_AM_3099402CITY OF EDMONDS MyBuildingPermit.com Building Application #1199463 - WA22009 Woodlake Townhomes Applicant First Name Last Name Company Name Alejandro Blanco RoofCorp of America Number Street Apartment or Suite Number E-mail Address 3425 S 146th St a.blanco@roofcorp.com City State Zip Phone Number Extension Tukwila WA 98168 (714) 677-2212 Contractor Company Name ROOFCORP OF WASH INC Number Street Apartment or Suite Number 3425 S146TH City State Zip Phone Number Extension SEATTLE WA 98168 (206) 439-9991 State License Number License Expiration Date UBI # E-mail Address ROOFCWI007Q1 7/20/2023 rinn57.1.1.14 c.gonzalez@roofcorp.com Project Location Number Street Floor Number Suite or Room Number 21001 84TH AVE W 2 21005 City Zip Code County Parcel Number EDMONDS 98026 00373600100708 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name JACK FAMILY PROPERTIES LLC Number Street Apartment or Suite Number 10801 130TH AVE E City State Zip PUYALLUP WA 98374 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 9/9/2022 Submitted By: Alejandro Blanco Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1199463 - WA22009 Woodlake Townhomes Project Contact Company Name: RoofCorp of America Name: Alejandro Blanco Email: a.blanco@roofcorp.com Address: 3425 S 146th St Phone #: (714) 677-2212 Tukwila WA 98168 Project Type Activity Type Multifamily Residential Re -Roof Replacement - Roofing Only Project Name: WA22009 Woodlake Townhomes Description of Work: Remove existing roof system and install a new TPO membrane over a 1/2" R-Tech Fanfold Project Details Structure Type Multifamily Building Increasing Building Height? The height of the building is not increasing. Primary Use Residential Condos Page 2 of 2